Angie's Blog

HealthCap® USA

Angie Szumlinski, NHA, RN-BC, RAC-CT and BS

Director of Risk Management

Angie SzumlinskiMs. Szumlinski is a nationally-recognized leader in long-term care with experience as an Owner/Provider, Administrator, Director of Nursing, Corporate Quality Assurance Coordinator and independent consultant. Ms. Szumlinski conducts risk management visits at facilities across the country, touching every acuity level within the post-acute care spectrum. Ms. Szumlinski served as an Associated Board Member for NCAL, is a member of the AHCA/NCAL Quality Committee, NCAL Risk Management Committee, HCAM Legal/Clinical Committee and is a Senior Examiner/Team Leader for the AHCA/NCAL Quality Award Program. Ms. Szumlinski is a Nurse Planner for the HealthCap® ANCC accredited education program.

Emergency Preparedness – Are You Ready?

Angie Szumlinski Uncategorized

As we soldier through the winter months, it is a great time to think about emergency preparedness.  When we think about emergencies, we often think of the usual winter events: snow storms, blizzards, power outages, staffing challenges, etc.  However, as we have learned in recent years, there is more to an emergency preparedness plan that moving snow and salting parking …

The Hiring Process in Long Term Care

Angie Szumlinski Uncategorized

Statutory/mandatory background investigation requirements vary from state to state. Questions to be asked in your facility, in relation to the statutory requirements include:  “Do we have an established protocol for pre-employment background checks?” “Are we in compliance with the statutory requirements, as well as our internal established protocol?” “Does our internal policy include checking the OIG exclusion list?” Non-compliance with …

2014 World Wide Pressure Ulcer Prevention Day

Angie Szumlinski Uncategorized

FOR IMMEDIATE RELEASE October 16, 2014 Washington, DC – According to the Prevention and Treatment of Pressure Ulcers: Clinical Practice Guidelines; “Pressure Ulcers increase hospital costs significantly. In the US, pressure ulcer care is estimated to approach $11 billion (USD) annually, with a cost of between $500 (USD) and $70,000 (USD) per individual pressure ulcer.”1 The NPUAP defines a pressure ulcer …

DEA Changes to Hydrocodone Combination Products (HCPs)

Angie Szumlinski Uncategorized

 On August 21st the U. S. Drug Enforcement Administration (DEA) published in the Federal Register the Final Rule moving hydrocodone combination products (HCPs) from Schedule III to the more-restrictive Schedule II.  As recommended by the Assistant Secretary for Health of the U.S. Department of Health and Human Services (HHS). Effective October 6, 2014, the Final Rule imposes the regulatory controls …

Code – More Than Chest Compressions

Angie Szumlinski Uncategorized

Question:   Where do long-term care nurses document the steps taken in a full code? Answer:   No clue – there is no standard. After giving this some thought, I asked myself, “Why not?”  Why do professional nurses who are required to be certified in CPR and initiate life sustaining measures in the event of a full code, not document what was done?  …

August 2014 – OIG Study Released

Angie Szumlinski Uncategorized

The OIG has released an executive summary on nursing facility compliance with Federal regulations on reporting allegations of abuse or neglect.  The study included a review of: Sampled nursing facility policies related to reporting allegations of abuse or neglect Sampled nursing facility policies related to reasonable suspicions of crimes Survey of administrators from those sampled facilities The study also included …

Congratulations Quality Award Recipients!

Angie Szumlinski Uncategorized

HealthCap would like to congratulate the 2014 Bronze and Silver AHCA/NCAL Quality Award recipients.  The quality journey is an ongoing process of evaluation and a commitment to achieving success.  Communities who have enjoyed success “live” the Baldrige criteria on a daily basis, everything done within the community is evaluated against this criteria, and when necessary, systems are “re-created”.  This may …

Assist Device Recall

Angie Szumlinski Uncategorized

The associated press and NBC news recently published an article regarding the recall of adult portable bed handles as the device being recalled has been identified as contributing to the deaths of three people.  The Consumer Product Safety Commission says the recall involves handles sold by Bed Handles Inc., of Blue Springs, MO.  (Link to complete article below). These types …

Alarm Appropriate – First Do No Harm!

Angie Szumlinski Uncategorized

There is no lack of opinion as to whether personal alarms used in fall prevention programs are effective or not.  Although recent research leans toward eliminating the use of alarms as they are not effective, we need to move slowly. The most important part of any reduction program whether it be restraints, side rails, alarms, etc. is to follow a …

Regulatory Update

Angie Szumlinski Uncategorized

The Centers for Medicare & Medicaid Services (CMS) is currently developing two distinct focused survey processes to assess dementia care and Minimum Data Set, Version 3.0 (MDS 3.0) coding practices in nursing homes.  CMS is planning to pilot these survey types beginning in 2014.  The intent of the dementia care focused survey is to document dementia care practices in nursing …